| Maya Conlon Lcsw-s Pllc | |
|
5900 Balcones Dr Ste 100 Austin TX 78731-4298 | |
| (833) 738-0245 | |
| Not Available |
| Full Name | Maya Conlon Lcsw-s Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5900 Balcones Dr Ste 100, Austin, Texas |
| Authorized Official Name and Position | Maya Conlon (MANAGING MEMBER) |
| Authorized Official Contact | 8337380245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Conlon Lcsw-s Pllc 9309 Linkmeadow Dr Austin TX 78748-5081 Ph: (512) 796-4352 | Maya Conlon Lcsw-s Pllc 5900 Balcones Dr Ste 100 Austin TX 78731-4298 Ph: (833) 738-0245 |
| NPI Number | 1710647516 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 1355733965 |
|---|---|
| Medicare Enrollment ID | O20220111001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710647516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maya Conlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932644507 PECOS PAC ID: 1557781598 Enrollment ID: I20201013003386 |
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